Tag - Copley Hospital

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Considerate Festive Cooking for Everyone: Special Diets/Allergies
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Tips for a Less Stressful Holiday
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Helping People Navigate the Health Care System
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Family Health History
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Getting Rid of “Dangerous Leftovers”
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The Power of Habit
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Purely Patrick: Supported Employment Helps an Entrepreneur Succeed
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The Acorn Philosophy
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2018 Community Health Needs Assessment Posted
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3-4-50 Recognition

Considerate Festive Cooking for Everyone: Special Diets/Allergies

By: Stacy Wein, Librarian, Copley Health Sciences Library*

During the holidays we often get together with others for parties or large family dinners. Planning the menus and cooking can be great fun until you remember Aunt Sally has a nut allergy and John has a gluten allergy. There is sure to be someone who is vegan or diabetic. How do you prepare a delicious and safe feast for all? Don’t worry, it can still be fun to plan a menu.

Hosting a festive gathering should be welcoming to all. Some of your guests may have dietary restrictions by choice, religion or culture, lifestyle choices, or it might be a matter of life and death. Make sure your guests know you are aware some might have dietary restrictions. Since you want everyone to enjoy themselves and you want to provide a safe menu, here are some suggestions and links to online resources to assist you in creating a deliciously safe feast for all.

  • Get to know your guests’ dietary restrictions. They might be able to make some suggestions or provide helpful information.
  • In the menu, be sure to list the ingredients for each dish. You might want to save the labels of the purchased items for the dish for reference.
  • Simplify! Keep recipes very basic. Stick to a little salt and pepper and provide other seasonings and ingredients, like nuts, to be available so guests can season their own serving.
  • Remember to wash hands, cooking utensils, and surfaces often. This prevents cross-contamination. You might also prepare dishes on different days.
  • And there is always the buffet or “build your own” option (like a taco bar) where people prepare their own from available options.

More Resources:

*This article was modified with permission from an article written by Carolyn Martin, MLS, AHIP,  Consumer Health Coordinator with University of Washington Health Sciences Library.

Tips for a Less Stressful Holiday

By: Leah Hollenberger

Tips to reduce holiday stress

The holidays can be one of the most stressful and emotional times of the year.  The loss of loved ones is felt deeply, financial worries, and stress over trying to fit in holiday activities along with daily life all contribute. There are two steps to helping make the holidays easier and more enjoyable. The first step is being honest with how much you can afford to spend for the holiday and sticking to your budget. The second step is focusing on what is most meaningful to you and your family and letting go of all the other activities and events that we tell ourselves must be a part of the holidays. This can be hard given all of the commercials, movies, and others’ traditions and expectations that are shared this time of the year.  Here are some tips that may help:

Speak with your extended family or friends in advance and mutually agree to provide gifts only for anyone under the age of 18.

For the adults, hold a Yankee Swap. Set a reasonable price limit, which is fair to everyone. You’ll find people will get creative. It is fun watching everyone open the presents and you’ll have a lot of laughs with the trading and swapping that ensues!

If you enjoy making gifts, try making one gift your signature gift for the holiday season. Make multiples of the item and give it to every adult on your list. Think homemade cocoa mix, granola, canned or preserved items like jam or pickles, candles, and the like.

Realize that once you give a gift, you are not invested as to if the recipient likes the gift. Of course, you hope they love it, but if they don’t, it is not a reflection on you. Let it go. It is fine if they want to re-gift or donate the item so someone else can enjoy it.

Give experiences as gifts; tickets to a play, a museum pass, a restaurant gift card – something that encourages the recipient to spend time with someone they love.

Give your time: a coupon to babysit; a calendar with an offer to get together monthly for a “walk and talk;” a bag of your homemade cocoa mix with a note to get together to watch a favorite tv show; an offer to drive them to the library, grocery store or laundromat, etc.  You could even suggest volunteering at the food share, nursing home, or with a local non-profit together.

Have your children shop with you for each other, within the budget you set. Siblings typically do a great job picking out a gift for each other – and it means more knowing their brother or sister picked it out especially for them.

The 4-gift rule is popular: one gift is something they want, one gift is something they need, one gift is something they wear, and one gift is something they read. I’m not sure where this rule originated, but it works for everyone and helps you stay on budget.

Figure out the two or three things that you love the most about the holiday and focus on them. If you love the lights on the Christmas tree but dislike decorating it, why not go with just lights on the tree? Make just one or two kinds of Christmas cookies instead of four or five. Better yet, participate in a cookie-walk if you want a variety of cookies. Area churches often hold them and promote them via Front Porch Forum.

Instead of going out to dinner, or fixing a fancy meal, suggest a potluck instead or serve a simple meal with a fancy dessert. Meet after dinner and take a drive around town to see the Christmas lights. Or play a board game with Christmas music playing in the background.

Simplify the expectations you have for yourself and others and you’ll find your holiday is less stressful and filled with what truly matters: spending meaningful time with family and friends.

What tips do you have for making the holidays less stressful?


Leah Hollenberger is the Vice President of Marketing, Development, and Community Relations for Copley Hospital. A former award-winning TV and Radio producer, she is the mother of two and lives in Morrisville. Her free time is spent volunteering, cooking, playing outdoors, and producing textile arts. Leah writes about community events, preventive care, and assorted ideas to help one make healthy choices.

Helping People Navigate the Health Care System

By: Rebecca Copans

Anyone who has accompanied a loved one to an emergency room knows how challenging it can be to navigate the medical system. Its complex language, daunting costs, and frenetic pace make it difficult for the average person to take in. If the patient has no one by their side and if they are dealing with two or more chronic conditions — plus poverty, food insecurity, and unstable housing — they face even greater challenges in navigating the healthcare system.

Sarah Williams, Lamoille County Mental Health Services (LCMHS) Medical Care Coordinator, has seen first-hand the results of that confusion and it has become her mission to directly challenge that problem. In her role, Williams has created collaborative relationships among providers at LCMHS and community partners, including primary care physicians, endocrinologists, neurologists, pharmacists, and hospital emergency room staff. Her role brings together providers and information systems to coordinate health services with patient needs to better achieve the goals of treatment. “When I look into a person’s eyes, I can see the difference that help has made. They are less stressed and can focus on getting well.”

Having someone to help patients navigate a complex system improves the quality of the care they receive. Outcomes improve as well, as the person receives the kind of medical follow-up that is required to treat their needs. Research across disciplines have shown that care coordination increases efficiency and improves clinical outcomes and patient satisfaction with care. “Greater coordination of care—across providers and across settings—will improve quality care, improve outcomes, and reduce spending, especially attributed to unnecessary hospitalization, unnecessary emergency department utilization, repeated diagnostic testing, repeated medical histories, multiple prescriptions, and adverse drug interactions” writes Susan Salmond and Mercedes Echevarria of Rutgers University School of Nursing.

Through these coordinated partnerships, LCMHS is enhancing the quality of care for the individuals they serve. This gives the individual an advocate, as well as someone to translate the often murky landscape of multiple disciplines of medicine. This has a striking benefit to patients’ mental health, quality of life, and their own sense of optimism as they have one distinct person that can be contacted to help clarify information, track multiple appointments, and identify specialists.

As primary and behavioral health care providers strive to integrate services, care coordination will support system-wide efforts to reduce emergency room visits and hospital stays, which is one of the greatest cost-drivers for the health care system. Based on the foundation of care coordination, primary and behavioral health care integration will make huge inroads in achieving the triple bottom line of health care: to improve the health of the population, to improve the patient experience of care (including quality, access, and reliability), and to control or reduce costs.


Rebecca Copans has worked extensively in government affairs, public relations and communications. As a society, our greatest potential lies with our children. With this basic tenant firmly in mind, Rebecca worked most recently with the Permanent Fund for Vermont’s Children and now with Lamoille County Mental Health to secure a stronger foundation for all Vermont families. 

A graduate of the University of Vermont and Dartmouth College, Rebecca holds a bachelor’s degree in political science and a master’s degree in globalization. Her thesis concentration was the history and societal use of language and its effect on early cognitive development. She lives in Montpelier with her husband and three children.

Family Health History

By: Leah Hollenberger

Thanksgiving Day, November 22, is also Family Health History Day. As you gather with family this holiday, why not spend a few minutes with your loved ones exchanging medical histories?

There are several diseases that commonly run in families, including diabetes, heart attack, stroke, cancer osteoporosis, and sickle cell anemia.

Not many of us have detailed and precise information about other family members’ health histories. But any information can be helpful. Creating a Family Health History, and sharing it with your doctor and other healthcare practitioners, will help your provider recommend actions for reducing your personal risk of disease or help in looking for early warning signs of disease.

Reaching out to other family members to share your family health history, can help develop a more inclusive, larger family health history. And in doing so, talking about your family health history can help each of you stay healthy.

The Centers for Disease Control (CDC) has an online tool,  “My Family Health Portrait,” that makes it easy to capture and save your family medical history. You can share the document with other family members and easily update it. The tool is available online at https://phgkb.cdc.gov/FHH/html/index.html.

Pen and paper works just fine as well. The March of Dimes also has downloadable PDF health history form you can use at marchofdimes.org/family-health-history-form.pdf.  The U.S. Department of Health and Human Services has a form too, at www.hhs.gov/programs/prevention-and-wellness/family-health-history/family-health-portrait-tool/printable/index.html.

However you decide to record your family health history, it should include:

  • Health history of your parents, your brothers, and sisters, and your children; next in importance are grandparents, uncles and aunts, nieces and nephews, and any half-brothers or half-sisters. Finally, it is helpful to include great aunts, great uncles, and cousins.
  • Age for all relatives, including age at time of death for the deceased and what caused their death.
  • Ethnicity/Ancestory, as some genetic diseases are more common in certain ethnic groups.
  • Presence of chronic diseases.

The HHS suggests these questions to help get the conversation going:

  • Do you have any chronic illnesses, such as heart disease, high blood pressure or diabetes?
  • Have you had any other serious illnesses, such as cancer or stroke?
  • How old were you when you developed these illnesses?
  • Have you or your partner had any difficulties with pregnancies, such as miscarriages?
  • What medications are you currently taking?
  • Do you have, or have you had, any learning or developmental disabilities?

You should be prepared to ask some follow up questions. For example, if an uncle tells you he has heart disease you will want to ask:

  • How old were you when you developed the disease?
  • Did you have a heart attack?
  • Have you had any procedures done related to your heart? If so, what and when?
  • Do you have other medical problems, such as high cholesterol or high blood pressure?
  • What medications are you taking to help with any of the above?

Please realize that this conversation could be difficult for some members of your family. Not everyone may want to share their personal health information or it could bring up some difficult emotions. Being respectful and sensitive to their feelings is important. It may help to share in advance why you are asking these questions and what you plan to do with the information.

So this Thanksgiving, in addition to asking for the recipe for that delicious side dish, ask them to also share their health history and anything they know about other family members’ past health.

Wishing you a happy and healthy Thanksgiving.


Leah Hollenberger is the Vice President of Marketing, Development, and Community Relations for Copley Hospital. A former award-winning TV and Radio producer, she is the mother of two and lives in Morrisville. Her free time is spent volunteering, cooking, playing outdoors, and producing textile arts. Leah writes about community events, preventive care, and assorted ideas to help one make healthy choices.

Getting Rid of “Dangerous Leftovers”

Year-round secure medication drop boxes are a convenient and safe way to get rid of  “dangerous leftovers” – i.e. unused, expired, and/or unwanted prescription medication. There are several in the area, including:

  • Copley Hospital – in the main hallway outside of the Laboratory Check-In window
  • Lamoille County Sheriff’s office in Hyde Park
  • Morristown Police Department
  • Hardwick Police Department.

This service is made possible through an agreement with the Vermont Department of Health in conjunction with the Drug Enforcement Administration (DEA) and in collaboration with Healthy Lamoille Valley.

Meg Morris, RPH, Copley Hospital’s Director of Pharmacy with Sheriff Roger Marcoux, Copley CEO Art Mathisen and Chief Medical Officer Donald Dupuis, MD, flank the area’s newest prescription medication drop off box for unused or expired medications. It’s located at Copley Hospital, in the hallway before the Laboratory’s Check-In window.

 

Proper disposal of medication is essential. Otherwise, it might end up in the wrong hands; presenting a danger to children and pets; it could be used improperly, possibly fueling addition; or it could pollute local water systems if flushed down the toilet.

The Drop Boxes accept prescription, over-the-counter, and pet medication in any form from households. This includes: pills & capsules, blister packs, creams & gels, inhalers, patches, powders, and sprays. Please – no needles, syringes, lancets or thermometers and no medications from businesses.

Drop off is anonymous – no ID is required. Before dropping off any medications, please prepare them by crossing your name off the container and putting all of the containers together in a sealed clear plastic bag (such as a Ziplock bag). If you don’t have the original container, please place the medications in a sealed clear plastic bag and label it with the name of the medication.

In addition to the Prescription Medication Drop Box program, the Vermont Health Department has introduced mail-back envelopes for safe and secure drug disposal. Consumers can use these envelopes at home to safely and securely mail in expired and unused prescription medications.

Learn more about drug safety at healthylamoillevalley.org/prescription-drugs and at healthvermont.gov/alcohol-drugs/services/prescription-drug-disposal.

The Power of Habit

By: Rorie Dunphey

Have you ever ‘decided’ to make changes to your health (lose weight, quit smoking, start exercising…), only to be disappointed in yourself days or weeks later having ‘failed’? You may feel disappointed in yourself due to a ‘lack of willpower’ or simply feel overwhelmed by how hard it is to change. In fact, change is not a ‘decision’, but rather it is a process that takes time and patience.

Don’t underestimate the power of habit! Habit formation (whether starting or stopping a behavior) is both physical and psychological. Our brain actually creates neural pathways for new behaviors. Our body and mind are in the habit of behaving in a certain way, and it can take time for a new habit to form or an old habit to diminish.

Change is a process, not an event. Here are some tips to help create healthy habits:

  • Practice patience. Research tells us that it takes as much as 180 days to truly let go of an old habit and adopt a new one. So hang in there!
  • Stop beating yourself up! Putting yourself down if you find yourself engaged in the old habit can damage our confidence. Instead, practice positive thinking and be compassionate with yourself.
  • Celebrate catching yourself. Instead of putting yourself down for ‘being weak’, congratulate yourself for being aware. Each time you catch yourself and become aware, you will build confidence and motivation.
  • Use structures to help remind yourself about the new behavior or goal. For example, put sticky notes on the bathroom mirror, set an alarm on your phone, or link the new behavior to something you already do (like walking right after breakfast).
  • Involve others in your goal. Let family, friends or co-workers know you are working to change. Enlist support and feedback to help. Find a partner with a similar goal to help motivate each other!
  • Work with a health coach or healthcare provider. They can provide support and accountability during the process of habit formation.

Don’t wait until New Years to make healthy changes in your life. Habits can be changed or created any time of year!


Rorie Dunphey works under Vermont’s Blueprint for Health as the RN Chronic Care Coordinator at Family Practice Associates in Cambridge. She works one-on-one with people and also leads classes to promote health and help people better manage their chronic diseases. She also assists patients in accessing community and state resources to better coordinate their health and wellness needs. Rorie has a particular passion for promoting a healthy diet and exercise routine to inspire people to live their best life.

 

Purely Patrick: Supported Employment Helps an Entrepreneur Succeed

By: Rebecca Copans

Patrick and his sister Deseray Lewis sell Purely Patrick goods at Art on Park in Stowe

 

If you wander down Stowe’s Park Street on a summer Thursday evening, you are sure to find a colorful tent filled with specialty food items made and packaged by Patrick Lewis, the entrepreneur behind Purely Patrick.

A vivacious person who sings through his days, Patrick was born with Cerebral Palsy. His parents, Mary Anne and George Lewis, helped Patrick utilize his repetitive hand motions to build a specialty food business. He sells glass Ball jars and plastic water bottles (which are easier to ship) filled to the brim with beautiful dried ingredients like birdseed, recipes for dog treats, sweets like cookies and brownies, savory recipes like soup and cornbread, as well as a number of gluten-free recipes.

Along with his parents, George and Mary Anne Lewis, Patrick is supported by his sister, Deseray, and two LCMHS Developmental Services Supported Employment Staff, Carrie Cota and Miranda Maxham. Carrie has been with Patrick for seven years, and Miranda has been with him for three. Strong relationships and job retention are incredibly important here.

Patrick participated in the Race for Sensory Drive in May with his mother and sister, Mary Anne and Deseray Lewis.

 

“I wouldn’t trade [Carrie and Miranda] for the world. Not just anyone can do this job,” Mary Anne says. The rapport among them is obvious.

“Miranda is the numbers girl, and I handle the technical side of the business, including developing and maintaining the website,” Carrie says.

“Carrie is my techie,” Mary Anne jokes, “and Miranda is a worker bee—they both are!—but Miranda is never afraid of using her muscles. For example, she brings many jars from the Hardware store in for Patrick after his shopping trips. She carries a ton of Patrick’s groceries in at the same time. She is always moving, and very efficient. She is even insured to drive the big lift van and does so willingly and safely.”

Developing the business-side of Purely Patrick has been a learning process. Working with his strengths, over time they developed a concept for creating products that capitalize on Patrick’s repetitive hand movements and that avoid hand-over-hand motions that are difficult for a person who is blind. His Supported Employment staff helps Patrick to ensure that measurements are accurate. But “if there is anything in one of those jars, it’s because he put it there,” Carrie says.

Mary Anne agrees. “It’s not about us doing it, it’s purely Patrick!”

The team tracks Purely Patrick sales—from farmers markets and craft shows to internet sales—and their hottest market is sales from the family-owned Brass Lantern Inn in Stowe. The relationship is mutual. The innkeepers sell a number of Vermont products, from tea to maple syrup, “but the thing we sell the most of out there is Patrick’s products,” says Mary Anne.

When buying the specialty food products, many people don’t realize that Patrick is the innkeepers’ son. It creates a positive awareness of the abilities of an individual with a disability. Even though sales aren’t always robust at some community events, there is value in Patrick’s presence there. “He has some very loyal repeat customers over the years that come to Art on Park year after year,” Carrie says.

Mary Anne agrees. “I see it as a bigger picture; it is exponential networking and I feel that it’s wholesome disability awareness. I can’t tell you how many moms and dads have come up to us and said, ‘I had no idea that a Patrick could be employed.’ It’s inspiring for families of people living with a disability to see the incredible potential in every individual.”

 


Rebecca Copans has worked extensively in government affairs, public relations and communications. As a society, our greatest potential lies with our children. With this basic tenant firmly in mind, Rebecca worked most recently with the Permanent Fund for Vermont’s Children and now with Lamoille County Mental Health to secure a stronger foundation for all Vermont families. 

A graduate of the University of Vermont and Dartmouth College, Rebecca holds a bachelor’s degree in political science and a master’s degree in globalization. Her thesis concentration was the history and societal use of language and its effect on early cognitive development. She lives in Montpelier with her husband and three children.

 

The Acorn Philosophy

By: Leah Hollenberger

A small dish of acorns sits on my kitchen windowsill. They are a symbol of hope and perseverance for me. Within each little acorn is a strong oak tree. For me, small step to improve healthacorns also represent a kernel of an idea that can grow into something meaningful; a kernel of truth that can bring about greater understanding.

“Self-care” is a big buzzword now, often used to promote pampering oneself or splurging on something. The acorn reminds me that self-care is necessary and basic: sunshine, water and the right soil is all the acorn needs to become a mighty oak. Self-care is getting enough sleep (7-8 hours a night), healthy eating (lots of vegetables, cooking at home, less processed food), exercising (preferably outside to get fresh air and sunshine), and spending time with people that make you happy.  Doing these things on a daily basis is the foundation of self-care. Just as the acorn needs sunshine, water, and nutrients in the soil to grow – self-care – so do we. Human beings do better when we take care of our basic needs first.

This acorn philosophy works on a bigger scale as well. It is why this blog exists. Why community members are helping others get the nutritious food they need, receive the preventative and emergent healthcare they need, why a grassroots church effort to run a warming shelter has evolved into the Lamoille Community House.  All of these initiatives were a small acorn, a kernel that grew into a community-wide effort to help meet people’s basic needs. Collectively these efforts can always use more help for the need is great, but not insurmountable.

I have a pair of acorn earrings and a necklace that were given to me by dear ones. I like to wear them because they make me happy. I also wear them when I am feeling down or facing what I think may be a difficult day or trying to shape an idea. They serve as a little talisman of hope and belief, as well as a reminder to nurture that soon-to-be oak tree, to nurture me, to nurture our community.


Leah Hollenberger is the Vice President of Marketing, Development, and Community Relations for Copley Hospital. A former award-winning TV and Radio producer, she is the mother of two and lives in Morrisville. Her free time is spent volunteering, cooking, playing outdoors, and producing textile arts. Leah writes about community events, preventive care, and assorted ideas to help one make healthy choices.

2018 Community Health Needs Assessment Posted

Results and Implementation Plan are Now Available for Community Review

 

Copley Hospital has completed its 2018 Community Health Needs Assessment (CHNA) and posted the results and implementation plan on its website, copleyvt.org. Through the CHNA process, Copley has determined the top health needs of the community are: Preventative Care, Mental Health, Chronic Health Conditions, and Substance Use/Abuse. The Hospital has developed, in conjunction with recommendations from local health care and social service organizations, an implementation plan. This plan will help address these needs and includes services/programs the hospital already offers, new services/programs the hospital may add, other organizations the hospital may partner with and metrics the hospital will use to track progress.

“We had a tremendous response to our survey and are grateful to the staff of area social service organizations and agencies and community leaders that helped with the assessment and shaping our Implementation Plan,” said Art Mathisen, Copley Hospital CEO.  “We view this as a plan for how we, along with other area organizations and agencies, can collaborate to bring the best each has to offer to support change and to address the most pressing identified needs.”

A CHNA is a federal requirement of all non-profit hospitals to prove the hospital is providing community benefit and meeting the needs of local residents. The CHNA process follows federal guidelines including gathering statistical data from reputable sources, surveying “Local Experts” who meet specific criteria and developing an implementation plan for addressing the Significant Health Needs in the area.

The complete report can be found here: https://www.copleyvt.org/about-us/community-health-needs-assessment/. Community members can also go to Copley’s Community Relations office and request a paper copy to review.

3-4-50 Recognition

By: Valerie Valcour

Lamoille Valley communities value what our natural resources have to offer. We value recreation, locally-grown foods, fresh air, clean waterways, rural traditions, the arts, culture, and historical preservation. These attributes are cherished and promoted throughout local communities and with visitors.

These attributes help to explain why Vermont has been identified as the number one best state to live in according to CNBC and why for several years, Vermont has been one of the top three healthiest states according to the Nation’s Health Ranking.

Vermonters have much to be proud of and there is still work to be done to assure that everyone in our state has an equitable chance to reach their optimum health. In Lamoille Valley, the Vermont Department of Health local office has been, one-by-one, meeting with local businesses, town selectboards, school administrators, child care directors, and faith communities to introduce the 3-4-50 campaign.

Lamoille Valley_Community Health_Chronic Disease

3-4-50 is a simple but powerful way to understand and communicate the overwhelming impact of chronic disease in Vermont. 3-4-50 represents 3 behaviors – lack of physical activity, poor nutrition and tobacco use – that lead to 4 chronic diseases – cancer, heart disease/stroke, type 2 diabetes, and lung disease – resulting in more than 50 percent of all deaths in Vermont.

The 3-4-50 campaign includes tips and strategies to assist our communities or organizations to create meaningful change. We need commitment from all corners of Vermont to embrace these health-promoting strategies. The 3-4-50 campaign can inspire action at all levels, building a foundation for longer and healthier lives for Vermonters, and reduce the escalating costs to treat preventable diseases. The 3-4-50 campaign has developed a “Sign-On” process for any community or organization to meet wellness recommendations.

In Lamoille Valley, nine organizations have signed on as 3-4-50 Partners. The Morrisville District Office of the Vermont Department of Health is proud to report that Copley Hospital, Green Mountain Support Services, Helen Day Art Center, Lamoille County Mental Health, Lamoille County Planning Commission, Lamoille Home Health and Hospice, Little Moose Crossing Childcare, North Central Vermont Recovery Center and Riverbend Market are all 3-4-50 Partners.

You too can sign on as a 3-4-50 Partner and the Vermont Department of Health, Morrisville Office is here to help you achieve your wellness goals. Together we can reduce the burden of chronic disease and close the gap in health inequities. Please contact Valerie Valcour RN at 888-1351 or email Valerie.valcour@vermont.gov for more information.


Valerie Valcour is a Public Health Nurse and specializes in chronic disease prevention and emergency preparedness at the community level for the Department of Health in Morrisville. Valerie has lived in Lamoille County most of her life. She graduated from People’s Academy in 1983 and worked as a nurse at Copley Hospital for several years. Recently Valerie has volunteered as a board member of both Community Health Services of Lamoille Valley and the Lamoille County Planning Commission.